<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('门店资质表新增')" />
    <th:block th:include="include :: ztree-css" />
</head>
<body class="white-bg">
<div class="wrapper wrapper-content animated fadeInRight ibox-content">
    <form id="form-SXtszMdzhglStorequalification-add" class="customize-search-form">
        <div class="customize-form-group-container">

            <div class="customize-form-group">
                <label>企业名称:</label>
                <input name="companyName" placeholder="企业名称"  id="companyName" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>法定代表人/营业者:</label>
                <input name="legalRepresentative" placeholder="法定代表人/营业者"  id="legalRepresentative" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>营业执照注册号:</label>
                <input name="businessLicenseRegistrationNumber" placeholder="营业执照注册号"  id="businessLicenseRegistrationNumber" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>地址:</label>
                <input name="businessLicenseAddress" placeholder="地址"  id="businessLicenseAddress" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>营业范围:</label>
                <input name="businessScope" placeholder="营业范围"  id="businessScope" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>营业执照有效期:</label>
                <input name="businessLicenseValidityPeriod" placeholder="营业执照有效期"  id="businessLicenseValidityPeriod" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>营业执照:</label>
                <input name="businessLicenseUrl" placeholder="营业执照"  id="businessLicenseUrl" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>互联网药品信息服务资格证书:</label>
                <input name="internetPharmaceuticalInformationServiceCertificate" placeholder="互联网药品信息服务资格证书"  id="internetPharmaceuticalInformationServiceCertificate" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>互联网药品交易服务资格证书:</label>
                <input name="internetPharmaceuticalTransactionServiceCertificate" placeholder="互联网药品交易服务资格证书"  id="internetPharmaceuticalTransactionServiceCertificate" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>药品经营许可证:</label>
                <input name="pharmaceuticalOperationPermit" placeholder="药品经营许可证"  id="pharmaceuticalOperationPermit" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>食品经营许可证:</label>
                <input name="foodOperationPermit" placeholder="食品经营许可证"  id="foodOperationPermit" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>医疗器械经营许可证:</label>
                <input name="medicalDeviceOperationPermit" placeholder="医疗器械经营许可证"  id="medicalDeviceOperationPermit" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>第二类医疗器械经营备案凭证:</label>
                <input name="secondClassMedicalDeviceFilingCertificate" placeholder="第二类医疗器械经营备案凭证"  id="secondClassMedicalDeviceFilingCertificate" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>药品经营质量管理规范认证证书:</label>
                <input name="pharmaceuticalQualityManagementStandardCertification" placeholder="药品经营质量管理规范认证证书"  id="pharmaceuticalQualityManagementStandardCertification" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>医疗器械网络销售备案凭证:</label>
                <input name="medicalDeviceNetworkSalesFilingCertificate" placeholder="医疗器械网络销售备案凭证"  id="medicalDeviceNetworkSalesFilingCertificate" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>执业药师注册证:</label>
                <input name="pharmacistRegistrationCertificate" placeholder="执业药师注册证"  id="pharmacistRegistrationCertificate" class="styled-input" type="text">
            </div>
            <div class="customize-form-group">
                <label>入驻药急送平台协议:</label>
                <input name="platformEntryAgreement" placeholder="入驻药急送平台协议"  id="platformEntryAgreement" class="styled-input" type="text">
            </div>
        </div>
    </form>
</div>
<th:block th:include="include :: footer" />
<th:block th:include="include :: ztree-js" />
<script type="text/javascript">

    function submitHandler() {
        if ($.validate.form()) {
            add();
        }
    }

    function add() {
        var data = $("#form-SXtszMdzhglStorequalification-add").serializeArray();
        $.ajax({
            cache : true,
            type : "POST",
            url : ctx + "xtsz/sxtszmdzhglstorequalification/sXtszMdzhglStorequalificationAdd",
            data : data,
            async : false,
            error : function(request) {
                $.modal.alertError("系统错误");
            },
            success : function(data) {
                $.operate.successCallback(data);
            }
        });
    }
</script>
</body>
</html>
